Provider Demographics
NPI:1700046885
Name:LOPRESTI, MARY LORRAINE (DO)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:LORRAINE
Last Name:LOPRESTI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 CENTRE ST STE 108
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2578
Mailing Address - Country:US
Mailing Address - Phone:617-965-7400
Mailing Address - Fax:617-965-3179
Practice Address - Street 1:1400 CENTRE ST STE 108
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-2578
Practice Address - Country:US
Practice Address - Phone:617-965-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIDO00782207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine